- Novo Nordisk Inc. (Plainsboro, NJ)
- …internal and external stakeholders to leverage and implement knowledge of reimbursement, managed care and healthcare policy to develop execution strategies and ... to all relevant partners. External relationships include interactions with key managed markets payers (potentially including but not limited to payers, PBMs,… more
- Novo Nordisk Inc. (Las Cruces, NM)
- … in order to influence formulary status, as applicable May analyze impact of managed care in the territory and its effect on prescribing decisions, and ... Novo Nordisk, we are the world leader in diabetes care and a major player in defeating other serious...Internally, the DCS I reports to the District Business Manager of the specific sales territory. The DCS I… more
- Merck & Co. (Rahway, NJ)
- …Associate Director, is accountable for meeting customer demand at the Contract Manufactures (CMO's) they manage by achieving excellence in Compliance, Supply, ... External Manufacturing Operations Associate Director is a "Virtual Plant Manager " within External Manufacturing. They oversee our Manufacturing Division relationship… more
- Baystate Health (Springfield, MA)
- …forecasting Under the direction of the Director of Managed Care , the Managed Care Contract Manager is responsible for the key components ... less costly care . Primary responsibilities of the Managed Care Contract Manager...understanding how these align or differ from other payer contracts or industry standards. Analyze performance of contract… more
- Insight Global (Minneapolis, MN)
- Job Description The Managed Care Account Manager will be responsible for developing and managing relationships with managed care organizations. This ... strong analytical skills, excellent communication abilities, and a deep understanding of the managed care landscape. Salary is DOE up to 150k. We are a company… more
- Saint Francis Health System (Tulsa, OK)
- …managing multiple priorities with competing deadlines. Essential Functions and Responsibilities: Oversees managed care contract negotiations with payors for ... - Friday | 8:00am - 5:00pm Job Summary: The Manager , Managed Care oversees the...health system programs and pricing for their impact on managed care contracts and the… more
- Cedars-Sinai (CA)
- …people throughout Los Angeles and beyond. **Req ID** : 5668 **Working Title** : Program Manager - Managed Care (Hybrid) **Department** : MNS Managed ... **Job Description** The Program Manager is responsible for supporting all facets of...membership. + Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star… more
- Option Care Health (Carmel, IN)
- …Legal, Sales, and any other departments that are involved with or impacted by managed care contracts . Complete credentialing applications when necessary for ... of importance and/or time spent)** Manage the negotiation of managed care and health system contracts...Requirements** High school diploma and 10yrs of experience in managed care account management or contract… more
- Baylor Scott & White Health (Dallas, TX)
- …reporting of expenses and operating/net income by entity and line of business. ** MANAGED CARE ANALYTICS & CONTRACT SPECIFIC RESPONSIBILITIES** + Manage ... 100% remote option available at this time. + The Manager Finance is responsible for managing the annual forecasting/budgeting...Makes decisions and recommendations on critical initiatives related to managed care analytics and contract … more
- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Director - Managed Care Contracting, this position is responsible for managing the payor contracting functions for the ... physicians of Henry Ford Health. This position is responsible for leading the Managed Care Contracting team in evaluating, analyzing, and negotiating contract… more
- e CancerCare (Nashville, TN)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... contract retention and administrative tracking of all various managed care payors. Advances company payor strategy...In collaboration with the Director of Managed Care , negotiate and manage assigned contracts , including… more
- Amneal Pharmaceuticals (Bridgewater, NJ)
- …with various teams as changes occur, review proposed contract language for managed care contracts to ensure agreements are executable. Develop and ... Description: The primary responsibilities of the Manager , Managed Care Rebates,...role will be responsible for leading and supporting the Managed Care claims processing, contract … more
- St. Luke's Health System (Boise, ID)
- …& Contracting is a key leadership role accountable for St. Luke's Health System's managed care contract portfolio, to include activities related to new ... As an internal expert in payer reimbursement strategies, the Manager will provide insight and guidance to internal stakeholders...internal stakeholders and the leadership team with regard to managed care contract capabilities, in… more
- Sutter Health (Modesto, CA)
- …contract negotiations and document management. Provides contract administration oversight for managed care provider network. The manager 's role in the ... contract terminology, provisions, and various reimbursement methodologies including managed care risk contracting + Ability to systematically analyze… more
- Henry Ford Health System (Troy, MI)
- …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting, Reimbursement, or related field. + ... GENERAL SUMMARY: Under minimal supervision of the Manager , independently leads financial and data analysis to...to seven (5-7) years of experience in healthcare finance, managed care contracting, or reimbursement in a… more
- Organon & Co. (Jersey City, NJ)
- …issues. **Required Education, Experience and Skills** + BA/BS. + Two plus years of managed care account manager or equivalent experience. + Customer ... analytical capabilities. + Highly developed Leadership Skills. + Working Knowledge: Managed Care Operations, Contracting Strategy, Healthcare Systems Structure… more
- Baptist Memorial (Memphis, TN)
- …process for payor contracts . Job Responsibilities + Identifies and evaluates managed care contracting opportunities to grow the existing business, develop ... contracts to closure and inform senior management of contract activity. + Maintains proficient knowledge of managed... contract activity. + Maintains proficient knowledge of managed care contracting concepts, including but not… more
- Molina Healthcare (Columbus, OH)
- …knit proximity ongoing after contract . * In conjunction with Director/ Manager , Provider Contracts , negotiates Complex Provider contracts including ... Relationship Contracts . * Develops and maintains provider contracts in contract management software. * Targets...care environment. * 3+ years experience in provider contract negotiations in a managed healthcare setting… more
- Molina Healthcare (Houston, TX)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... Contract Specialists on negotiation of individual provider and routine ancillary contracts . * Identified as contract system lead by developing and… more
- Molina Healthcare (Columbus, OH)
- …SKILLS & ABILITIES** : * 5-7 years experience in Healthcare Administration, Managed Care , Provider Contracting and/or Provider Services, including 2+ years ... a direct or matrix leadership position * 3+ years experience in provider contract negotiations in a managed healthcare setting ideally in negotiating different… more
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